ÿþ<?include("system/sys_cmn_function.php"); include("include/sys_cmn_settings.php"); $objdb_function = new db_functions(); $establish=new connection(); ?> <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd"> <html> <head> <title>StockFocusFin: Apply on line</title> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"> <link href="stylesheet/SFFS.css" rel="stylesheet" type="text/css"> <script language="javascript" src="system/sys_js_validate.js"></script> <script language="JavaScript"> function doSubmit(form) { if(document.frmportfolio.txtname.value == "") { alert("Please enter the Name"); document.frmportfolio.txtname.focus(); return false; } if(document.frmportfolio.txtcurrent_location.value == "") { alert("Please enter the Address"); document.frmportfolio.txtcurrent_location.focus(); return false; } if(document.frmportfolio.txtmobile.value == "") { alert("Please Enter the Mobile"); 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class="topmenu"> <tr> <td>&nbsp;</td> <td width="70"><a href="index.html" class="topmenu_hyper">Home</a></td> <td class="center_cut"></td> <td width="88"><a href="about.html" class="topmenu_hyper">About Us</a></td> <td class="center_cut"></td> <td width="166"><a href="#" name="link5" class="topmenu_hyper" id="link1" onMouseOver="MM_showMenu(window.mm_menu_0329203718_0,-17,18,null,'link5')" onMouseOut="MM_startTimeout();">Products &amp; Services</a></td> <td class="center_cut"></td> <td width="84"><a href="#" name="link2" class="topmenu_hyper" id="link3" onMouseOver="MM_showMenu(window.mm_menu_0329205155_0,-17,18,null,'link2')" onMouseOut="MM_startTimeout();">Careers</a></td> <td class="center_cut"></td> <td width="100"><a href="contact.html" class="topmenu_hyper">Contact Us</a></td> <td class="center_cut"></td> <td width="156"><a href="feedback.html" class="topmenu_hyper">Customer Feedback</a></td> </tr> </table></td> </tr> <tr> <td valign="top" align="center"><table width="98%" border="0" align="center" cellpadding="0" cellspacing="0" class="center_part"> <tr> <td class="cp_empty_space1"></td> </tr> <tr> <th>Portfolio Tracker </th> </tr> <tr> <td class="cp_empty_space1"></td> </tr> <tr> <td class="cp_empty_space1"></td> </tr> <tr> <td class="cp_empty_space2"></td> </tr> <tr> <td valign="top"> <table width="60%" border="0" cellspacing="0" cellpadding="0" align="center" class="feedback_page"> <tr> <td width="190">Name :<font color="#FF0000">*</font> </td> <td><input type="text" name="txtname" class="online_list_textbox3"></td> </tr> <tr> <td>Address :<font color="#FF0000">*</font> </td> <td><textarea name="txtcurrent_location" class="online_list_area2" width="40" height="100"></textarea></td> </tr> <tr> <tr> <td>Mobile Number: <font color="#FF0000">*</font></td> <td><input type="text" name="txtmobile" class="online_list_textbox1"></td> </tr> <tr> <td>Pan Number :<font color="#FF0000">*</font> </td> <td><input type="text" name="txtpannumber" class="online_list_textbox1"></td> </tr> <tr> <td>EMail ID :<font color="#FF0000">*</font></td> <td><input type="text" name="txtemailid" class="online_list_textbox3"></td> </tr> </table> <br> <table width="90%" border="0" cellspacing="0" cellpadding="0" align="center" class="feedback_page"> <tr nowrap> <td width="2"><b>S.No</td> <td width="10%"><b>Scheme Name</td> <td width="5%"><b>Option</td> <td width="5%"><b>Folio Or A/C No</td> <td width="5%" nowrap><b>Purchase Date</td> <td width="5%"><b>Amount Invested(Rs)</td> <td width="5%" nowrap><b>Purchase N.A.V</td> <td width="5%" nowrap><b>No of Units Purchased</td> </tr> <tr> <td>1</td> <td><input type="text" name="txtSchemeName1" class="online_list_textbox3"></td> <td><select name="cbooption1" class="online_list_area3"> <option>Please Select</option> <option>Dividend Payout</option> <option>Dividend Reinvestment</option> <option>Growth Option</option> <option>Others(Please Specify)</option> </select></td> <td><textarea type="text" name="txtFolioStock1" class="free_tax_textarea"></textarea></td> <td nowrap><input type="text" name="txtPurchasedate1" class="online_list_textbox2"> <a href="javascript:show_calendar('frmportfolio.txtPurchasedate1');" onMouseOver="window.status='Date Picker';return true;" onMouseOut="window.status='';return true;"><img align="middle" src="images/cal.gif" border=0></a></td> <td><input type="text" name="txtAmtInvested1" class="online_list_textbox2"></td> <td><input type="text" name="txtPurchaseNav1" class="online_list_textbox2"></td> <td align="center"><input type="text" name="txtPurchaseUnit1" class="online_list_textbox1"></td> </tr> <tr> <td>2</td> <td><input type="text" name="txtSchemeName2" class="online_list_textbox3"></td> <td><select name="cbooption2" class="online_list_area3"> <option>Please Select</option> <option>Dividend Payout</option> <option>Dividend Reinvestment</option> <option>Growth Option</option> <option>Others(Please Specify)</option> </select></td> <td><textarea type="text" name="txtFolioStock2" class="free_tax_textarea"></textarea></td> <td><input type="text" name="txtPurchasedate2" class="online_list_textbox2"> <a href="javascript:show_calendar('frmportfolio.txtPurchasedate2');" onMouseOver="window.status='Date Picker';return true;" onMouseOut="window.status='';return true;"><img align="middle" src="images/cal.gif" border=0></a></td> <td><input type="text" name="txtAmtInvested2" class="online_list_textbox2"></td> <td><input type="text" name="txtPurchaseNav2" class="online_list_textbox2"></td> <td><input type="text" name="txtPurchaseUnit2" class="online_list_textbox1"></td> </tr> <tr> <td>3</td> <td><input type="text" name="txtSchemeName3" class="online_list_textbox3"></td> <td><select name="cbooption3" class="online_list_area3"> <option>Please Select</option> <option>Dividend Payout</option> <option>Dividend Reinvestment</option> <option>Growth Option</option> <option>Others(Please Specify)</option> </select></td> <td><textarea type="text" name="txtFolioStock3" class="free_tax_textarea"></textarea></td> <td><input type="text" name="txtPurchasedate3" class="online_list_textbox2"> <a href="javascript:show_calendar('frmportfolio.txtPurchasedate3');" onMouseOver="window.status='Date Picker';return true;" onMouseOut="window.status='';return true;"><img align="middle" src="images/cal.gif" border=0></a></td> <td><input type="text" name="txtAmtInvested3" class="online_list_textbox2"></td> <td><input type="text" name="txtPurchaseNav3" class="online_list_textbox2"></td> <td><input type="text" name="txtPurchaseUnit3" class="online_list_textbox1"></td> </tr> <tr> <td>4</td> <td><input type="text" name="txtSchemeName4" class="online_list_textbox3"></td> <td><select name="cbooption4" class="online_list_area3"> <option>Please Select</option> <option>Dividend Payout</option> <option>Dividend Reinvestment</option> <option>Growth Option</option> <option>Others(Please Specify)</option> </select></td> <td><textarea type="text" name="txtFolioStock4" class="free_tax_textarea"></textarea></td> <td><input type="text" name="txtPurchasedate4" class="online_list_textbox2"> <a href="javascript:show_calendar('frmportfolio.txtPurchasedate4');" onMouseOver="window.status='Date Picker';return true;" onMouseOut="window.status='';return true;"><img align="middle" src="images/cal.gif" border=0></a> </td> <td><input type="text" name="txtAmtInvested4" class="online_list_textbox2"></td> <td><input type="text" name="txtPurchaseNav4" class="online_list_textbox2"></td> <td><input type="text" name="txtPurchaseUnit4" class="online_list_textbox1"></td> </tr> <tr> <td>5</td> <td><input type="text" name="txtSchemeName5" class="online_list_textbox3"></td> <td><select name="cbooption5" class="online_list_area3"> <option>Please Select</option> <option>Dividend Payout</option> <option>Dividend Reinvestment</option> <option>Growth Option</option> <option>Others(Please Specify)</option> </select></td> <td><textarea type="text" name="txtFolioStock5" class="free_tax_textarea"></textarea></td> <td><input type="text" name="txtPurchasedate5" class="online_list_textbox2"> <a href="javascript:show_calendar('frmportfolio.txtPurchasedate5');" onMouseOver="window.status='Date Picker';return true;" onMouseOut="window.status='';return true;"><img align="middle" src="images/cal.gif" border=0></a></td> <td><input type="text" name="txtAmtInvested5" class="online_list_textbox2"></td> <td><input type="text" name="txtPurchaseNav5" class="online_list_textbox2"></td> <td><input type="text" name="txtPurchaseUnit5" class="online_list_textbox1"></td> </tr> <tr> <td>6</td> <td><input type="text" name="txtSchemeName6" class="online_list_textbox3"></td> <td><select name="cbooption6" class="online_list_area3"> <option>Please Select</option> <option>Dividend Payout</option> <option>Dividend Reinvestment</option> <option>Growth Option</option> <option>Others(Please Specify)</option> </select></td> <td><textarea type="text" name="txtFolioStock6" class="free_tax_textarea"></textarea></td> <td><input type="text" name="txtPurchasedate6" class="online_list_textbox2"> <a href="javascript:show_calendar('frmportfolio.txtPurchasedate6');" onMouseOver="window.status='Date Picker';return true;" onMouseOut="window.status='';return true;"><img align="middle" src="images/cal.gif" border=0></a></td> <td><input type="text" name="txtAmtInvested6" class="online_list_textbox2"></td> <td><input type="text" name="txtPurchaseNav6" class="online_list_textbox2"></td> <td><input type="text" name="txtPurchaseUnit6" class="online_list_textbox1"></td> </tr> <tr> <td>7</td> <td><input type="text" name="txtSchemeName7" class="online_list_textbox3"></td> <td><select name="cbooption7" class="online_list_area3"> <option>Please Select</option> <option>Dividend Payout</option> <option>Dividend Reinvestment</option> <option>Growth Option</option> <option>Others(Please Specify)</option> </select></td> <td><textarea type="text" name="txtFolioStock7" class="free_tax_textarea"></textarea></td> <td><input type="text" name="txtPurchasedate7" class="online_list_textbox2"> <a href="javascript:show_calendar('frmportfolio.txtPurchasedate7');" onMouseOver="window.status='Date Picker';return true;" onMouseOut="window.status='';return true;"><img align="middle" src="images/cal.gif" border=0></a></td> <td><input type="text" name="txtAmtInvested7" class="online_list_textbox2"></td> <td><input type="text" name="txtPurchaseNav7" class="online_list_textbox2"></td> <td><input type="text" name="txtPurchaseUnit7" class="online_list_textbox1"></td> </tr> <tr> <td>8</td> <td><input type="text" name="txtSchemeName8" class="online_list_textbox3"></td> <td><select name="cbooption8" class="online_list_area3"> <option>Please Select</option> <option>Dividend Payout</option> <option>Dividend Reinvestment</option> <option>Growth Option</option> <option>Others(Please Specify)</option> </select></td> <td><textarea type="text" name="txtFolioStock8" class="free_tax_textarea"></textarea></td> <td><input type="text" name="txtPurchasedate8" class="online_list_textbox2"> <a href="javascript:show_calendar('frmportfolio.txtPurchasedate8');" onMouseOver="window.status='Date Picker';return true;" onMouseOut="window.status='';return true;"><img align="middle" src="images/cal.gif" border=0></a></td> <td><input type="text" name="txtAmtInvested8" class="online_list_textbox2"></td> <td><input type="text" name="txtPurchaseNav8" class="online_list_textbox2"></td> <td><input type="text" name="txtPurchaseUnit8" class="online_list_textbox1"></td> </tr> <tr> <td>9</td> <td><input type="text" name="txtSchemeName9" class="online_list_textbox3"></td> <td><select name="cbooption9" class="online_list_area3"> <option>Please Select</option> <option>Dividend Payout</option> <option>Dividend Reinvestment</option> <option>Growth Option</option> <option>Others(Please Specify)</option> </select></td> <td><textarea type="text" name="txtFolioStock9" class="free_tax_textarea"></textarea></td> <td><input type="text" name="txtPurchasedate9" class="online_list_textbox2"> <a href="javascript:show_calendar('frmportfolio.txtPurchasedate9');" onMouseOver="window.status='Date Picker';return true;" onMouseOut="window.status='';return true;"><img align="middle" src="images/cal.gif" border=0></a></td> <td><input type="text" name="txtAmtInvested9" class="online_list_textbox2"></td> <td><input type="text" name="txtPurchaseNav9" class="online_list_textbox2"></td> <td><input type="text" name="txtPurchaseUnit9" class="online_list_textbox1"></td> </tr> <tr> <td>10</td> <td><input type="text" name="txtSchemeName10" class="online_list_textbox3"></td> <td><select name="cbooption10" class="online_list_area3"> <option>Please Select</option> <option>Dividend Payout</option> <option>Dividend Reinvestment</option> <option>Growth Option</option> <option>Others(Please Specify)</option> </select></td> <td><textarea type="text" name="txtFolioStock10" class="free_tax_textarea"></textarea></td> <td><input type="text" name="txtPurchasedate10" class="online_list_textbox2"> <a href="javascript:show_calendar('frmportfolio.txtPurchasedate10');" onMouseOver="window.status='Date Picker';return true;" onMouseOut="window.status='';return true;"><img align="middle" src="images/cal.gif" border=0></a></td> <td><input type="text" name="txtAmtInvested10" class="online_list_textbox2"></td> <td><input type="text" name="txtPurchaseNav10" class="online_list_textbox2"></td> <td><input type="text" name="txtPurchaseUnit10" class="online_list_textbox1"></td> </tr> </table></td> </tr> <tr> <TD> &nbsp; </td> </tr> <tr> <td colspan="2"><div align="center"> <a onClick="doSubmit(this.form);"><img src="images/submit_button.jpg" border=0></a> </a></div></td> </tr> </table></td> </tr> <tr> <td class="cp_empty_space2"></td> </tr> <tr> <td>&nbsp;</td> </tr> <tr> <td><div style="display:none" id="divSubmitMsg"><font size="2" color="#FF0000">Thank you for applying online. We will get back to you as soon as possible.</font></div> </td> </tr> <tr> <td class="feedback_pad"> <div align="right"> <font color="#FFFFFF" size="2"><a href="#">Top</a></font> </div> </td> </tr> <tr> <td background="images/bottom_bg.jpg" height="50" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td class="bottom_menu"><a href="index.html" class="botmenu_hyper">Home</a> &nbsp; | &nbsp; <a href="about.html" class="botmenu_hyper">About Us</a> &nbsp; | &nbsp; <a href="mutual_funds.html" class="botmenu_hyper">Products & Services</a> &nbsp; | &nbsp; <a href="why_SFFS.html" class="botmenu_hyper">Careers</a> &nbsp; | &nbsp; <a href="contact.html" class="botmenu_hyper">Contact Us</a> &nbsp; | &nbsp; <a href="feedback.html" class="botmenu_hyper">Customer Feedback</a></td> </tr> <tr> <td class="copyrights">Copyright © 2007 www.stockfocusfin.com. All rights reserved.</td> </tr> </table></td> </tr> </table></td> </tr> </table></td> </tr> </table> </form> </body> </html>